Dr Rita Sekarsari SKp., Sp KV., MHSM

Non Pharmacological Management Hypertension

Berbasis Bukti *)

*) National Symposium Hypertension “WHAT NURSE SHOULD DO?”

Dalam Rangka HUT RSJHK ke 34, Auditorium RSJPDHK - 26 Oktober 2019

No Pendidikan

1 AKPER DEPKES RI 1985

2 S1 PSIK UI 1993

3 S2 Monas Uni Melbourne 2001

4 Pengakuan Ns Sp KV 2011

5 S3 FIK UI 2013, Doktor

Keperawatan

No Organisasi saat ini

1 Ketua II PP PPNI 2010-2015 (Mei)

2 President INKAVIN 2005-2011-2016

3 Ketua Kolegium Keperawatan

Spesialis Kardiovaskular 2011-2017-

sd saat ini.

4 Pengurus MTKI 2011- 2016

5 Surveior KARS 2010 -

Pembimbing Akreditasi KARS 2014 -

Konsilor Survei Areditasi KARS 2015

Tim Fungsional KARS 2017 -

6 Pengurus PERSI 2015-2018

No Pekerjaan

1 Ka Sub Komite Mutu RSJHK

2016 -

2 Koordinator Program Diklat

RSJPDHK 2012 - 2016

3 Ketua Sub Komite Keperawatan

RSJPDHK 2007 - 2012

4 Manajer Instalasi Rawat Inap &

Ketua Komite Keperawatan

RSJPDHK 2001- 2007

5 Ka Ru ICU RSJPDHK 1993 -

2001

6 Supervisor Keperawatan

RSJPDHK

1993 - 2009

Kontak :

ritaakbar@yahoo.com

Ph: 08151626004

OBJEKTIF

I. Evidence Based & Filosofis Asuhan

II. Non Pharmacological Management Hypertension Berbasis Bukti

III. Penutup

Evidence Based Nursing Practice

Penggunaan simultan antara keahlian klinis individual

(individual clinical expertise) dan bukti ilmiah terbaik

yang ada dari hasil riset (the best available external

clinical evidence from systematic research) untuk

membantu mengarahkan pembuatan keputusan klinik

dengan mempertimbangkan nilai2 yang dianut pasien.

Integrasi dari “clinically relevant research, clinical expertise

and patient preference” dalam membuat keputusan tentang

asuhan pasien yang efektif secara individual.

4 FondasiPPA Asuhan pasien

Pelayanan

Fokus Person

(Person Centred

Care)

Manajemen

Risiko RS

→ Risiko Klinis

• Asuhan Medis• Asuhan Keperawatan• Asuhan Gizi• Asuhan Obat

• Evidence Based• Value Based

EBM/NVBM/N

Etik

KebutuhanPasien

•Mutu•PatientSafety

“Safety is a

fundamental principle

of patient care and a

critical component of

Quality Management.”

(World Alliance for Patient

Safety, Forward Programme,

WHO, 2004)

FIGURE 5-1 Relationship among core competencies for health professionals.

SOURCE: IOM (2003).

Acquire the evidence

Category of Evidence

I a Evidence for meta-analysis of randomized control trials

I b Evidence from at least one randomized controlled trial

II a Evidence from at least one controlled study without

randomisastion

II b Evidence from at least one other type of quasi-

experimental study

III Evidence non experimental descriptive studies, such as

comparative/correlation/case control studies

IV Evidence from expert committee report or opinions or

clinical experience of respected authorities or both

FOUND IN

JOURNAL

SOURCE OF QUESTION

SOURCE OF QUESTION

ebscohost.com sciencedirect.com ProQuest.com

scopus.com sci-hub.cc

IOSR JNHS

CONTOH:

JOURNAL CARDIOVASCULAR, atl

Arteriosclerosis

Arteriosclorosis Thrombosis: A Journal of Vascular Biology

Arteriosclorosis, Thrombosis & Vascular Biology

Cardiovascular Research

Circulation

Circulation: Cardiovascular Intervention

Circulation Research

European Heart Journal

Hypertension

Journal of the American Society of Echocardiography

Journal of Thoracic & Cardiovascular Surgery

Seminar in Cardiothoracic & Vascular Anesthesia

Stroke

International Journal of Angiology

Journal of Cardiovascular Nursing

CONTOH:

JOURNAL CARDIOVASCULAR, atl

Anatomy of a Scientific Article

Abstract

Introduction

Materials and Methods

Results

Discussion

Conclusion

Non Pharmacological Management Hypertension

Berbasis Bukti

?

HypertensionBy Toni L. Ripley, Pharm.D., FCCP, BCPS, AHSCP-CHC; and Anna Barbato, Pharm.D., BCPS, AHSCP-CHC

Nursing Best Practice GuidelineShaping the future of Nursing

Nursing Managementof Hypertension

2015

2006

The areas

massaged

were

categorized

as the whole

body, the

head, the

neck, and

back area

(including

the face,

neck,

shoulders,

upper chest,

andback).

PENUTUP

NERS SANGAT BERPERAN PENTING DAN UTAMA

MENURUNKAN MORBITAS, MORTALITAS, LOS,

QUALITY OF LIFE PASIEN HIPERTENSI

MELALUI NON PHARMACOLOGICAL MANAGEMENT

HYPERTENSION BERBASIS BUKTI

Menjadi Ners

Profesional adalah

Pengabdian Luhur